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Putting PROMISE in Greater Context (23 Mar 2015)

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Daniel B Mark, MD, MPH and Larry Husten, PhD

The PROMISE trial, which was presented and discussed in a Journal Club forum at ACC.15, prompted some interesting discussion when CardioExchange covered it as a news story on March 14. Dr. Daniel B. Mark, one of the PROMISE investigators, now sheds further light on the trial in response to questions from CardioExchange news writer Larry…

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Avatar of Jean Costello, CardioExchange Staff

ACP Recommends Against Screening Asymptomatic Adults for Cardiac Disease (17 Mar 2015)

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The American College of Physicians has recommended that clinicians should not screen low-risk, asymptomatic adults for heart disease.

Avatar of Larry Husten, PHD

Appropriate Use Criteria for Diagnostic Catheterization are Weak (9 Mar 2015)

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Appropriate use criteria (AUC) are designed to help make sure that medical procedures and interventions are performed in patients most likely to benefit and, in turn, are not performed on people unlikely to gain benefit. Now a new study published in Annals of Internal Medicine suggests that the AUC for one very widely performed procedure, diagnostic cardiac…

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Avatar of Ethan J Weiss, M.D.

Case: Rising Coronary Artery Calcium in a Patient Who Has a Normal Stress Echo with an Abnormal ECG (16 Feb 2015)

Cardiology Case Discussion

Ethan J Weiss, M.D.

A 74-year-old physically active man exercises daily, takes a statin for hyperlipidemia, and has no other risk factors aside from a mildly elevated hemoglobin A1c. His most recent lipid profile, in January 2015, was: Total-c: 144 mg/dL LDL-c: 84 mg/dL HDL-c: 48 mg/dL Triglycerides: 59 mg/dL His coronary artery calcium scores were 109.5 in the…

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Avatar of Larry Husten, PHD

Nonobstructive Coronary Artery Disease Linked to Elevated Risk (4 Nov 2014)

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A large number of people who undergo elective coronary angiography are found to have nonobstructive coronary artery disease, and these patients have significantly increased risk for myocardial infarction and death, according to a retrospective study published in JAMA. Thomas Maddox and colleagues analyzed data from nearly 38,000 elective angiography patients in the VA health system. More…

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Avatar of Jean-Pierre Usdin, MD

Case: When an “Inappropriate” Stress Test Might Be Appropriate (27 Oct 2014)

Cardiology Case Discussion

Jean-Pierre Usdin, MD and James Fang, MD

Jean-Pierre Usdin presents the case of a 58-year-old man with well-treated hypertension who experiences an ST-segment-elevation MI shortly after a stress test he had requested to clear him for exercise.

Avatar of Larry Husten, PHD

Genetic Study Suggests Possible Causal Role for LDL in Aortic Valve Disease (26 Oct 2014)

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Although LDL is an important risk factor for aortic valve disease, the precise role it plays has been uncertain. Lipid-lowering therapy in people with established aortic valve disease has not been shown to be beneficial. Now, however, a new genetic study published in JAMA suggests that LDL cholesterol may in fact cause an increase in aortic…

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Are We Conducting Too Many Cardiac Stress Tests with Imaging? (20 Oct 2014)

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Joseph A. Ladapo, MD, PhD

Joseph A. Ladapo discusses his study of the use (and overuse) of cardiac stress testing in the United States.

Avatar of Larry Husten, PHD

Inappropriate Cardiac Stress Tests May Cost Half a Billion Dollars a Year (14 Oct 2014)

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Inappropriate cardiac stress tests may cost the U.S. healthcare system as much as half a billion dollars each year, according to a new study published in the Annals of Internal Medicine. Joseph Ladapo and colleagues set out to analyze long-term trends in the use of cardiac stress testing in the U.S. Using data from national surveys, they…

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Avatar of Larry Husten, PHD

American Heart Association: Pay More Attention to Radiation in Imaging Procedures (29 Sep 2014)

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The American Heart Association is urging physicians to better understand the risks of radiation in cardiac imaging procedures. When ordering these procedures physicians should understand the appropriate use of each procedure, the radiation dose associated with the procedure, and the risks associated with that dose. Both the risks and benefits should be fully explained and discussed…

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